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The delicate body has been compromised When the subject on infertility in women comes up, it gets a little

difficult to handle. If a man has issues with his sperm, there are easier ways which can solve it. However, the female has a more complicated reproductive system and since she is destined to be the carrier of the child, there are more problems which can show up. What causes it? The number of female eggs is finite, and as time passes by, the quality diminishes, which is why doctors recommend conceiving around the age of 25-30. Beyond 30 years of age, the egg quality lowers by 5% each year, and by the time they turn 40 the chances of having a child are reduced to as low as 1%. When a woman comes up for a fertility test, the first thing which doctors investigate is the fallopian tubes; the conduct of the reproductive system which carries the egg from the ovary to the uterus. Damage to them may interrupt connection with sperm. This can happen in case of pelvic infections or surgeries which may lead to scar tissue and damaged fallopian tubes. If this is not the problem, the next formation they check is the cervical canal. Despite the fact that not many women have cervical conditions; it is possible for an abnormal mucus production to stop the sperm from passing through. A solution to this is intrauterine insemination. When talking about women and their hormones, the task gets a bit complicated. Some have problems with ovulation too. The release of the egg from the ovary and the thickening of the endometrium do not synchronise due to hormonal changes. To detect this problem, basal body temperature charts come in hand, or if you seek for professional care, ovulation predictor kits, and blood tests (to detect hormone levels) will be suggested. However, there are the unfortunate cases where the infertility causes are not detected. In this event, more complicated measure will be taken, and thorough testing will be done: blood test to check hormone levels and endometrial biopsy in order to verify the lining of the uterus. What is to be done? There are certain procedures which are very helpful for successful diagnosis. The first one we are going to mention is Hysterosalpingography (HSG). It involves the ultrasound or X-ray of the reproductive organs. The cervix is injected with saline and air, which travels through the fallopian tubes. This gives the chance for any blockages or opened tubes to be revealed. The second one is Laparoscopy where a slender tube fitted with a fibrotic camera is inserted into the abdomen. This enables the doctor to see the outside of the uterus and ovaries, and also to be able to check if both fallopian tubes are opened simultaneously.

Whenever the egg-making is a problem, there is always the option of IVF. This involves the fertilisation of the egg in a culture dish, outside the female body, and placing it afterwards in her uterus. In order to cultivate more eggs, so the chances get higher, the woman will be asked to take gonadotropines to stimulate multiple egg development. Before inseminated, a culture of sperm will be developed and added to the same dish to create an embryo. In case the woman is completely infertile, or has abnormal functioning ovaries with the uterus in perfect condition, egg donation helps them achieve pregnancy. In spite of the fact that egg donation has recently become possible, it is similar to sperm donation. It consists in the removal of eggs from a donor who has undergone ovarian stimulation using fertility drugs, making a perfect fertilized oocyte. After finding a donor, the process is similar to basic IVF procedures. After each process is complete, the embryo is inserted in the mothers uterus. Other factors which cause infertility in women are behavioural, like smoking which increases the risk of miscarriage or premature birth; alcohol and drugs can have serious impact over the childs conception, and also give a higher chance of miscarriage. Can you treat it? One may think once infertile, a woman cannot conceive. On one hand, its true beca use there are complications that cannot be undone or treated. On the other hand there are treatments available which may include: medical treatment for lack of regular ovulation, surgical procedures, and assisted conception. The type of procedure is chosen depending on the cause of the infertility problem. It is recommended to consider private treatment, as it is a delicate matter.

It is very important that you choose a private clinic carefully; asking for advice from other couples or investigating thoroughly whilst making sure the clinic you choose is licensed by the Human Fertilisation and Embryology Authority. You also need to be aware of the complications which may appear, such as increased risk of ectopic pregnancy and side effects of medicines. When you abuse medicine, the woman may become extremely fertile, leading to multiple pregnancies.